Referral Coordinator

Health•Sacramento, CA

13d•Onsite

About The Position

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente. Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. Habitat Health is growing, and we’re looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit https://www.habitathealth.com . Role Scope : The Referral Coordinator position is responsible for accurate and timely data entry of referral requests into the appropriate portal. They are also responsible for follow-up on all specialty referrals and coordination of care for urgent referrals. The referral coordinator is an integral part of the care team, working as a liaison between the patient, providers, utilization management and various departments to ensure timely access to specialty care.

Requirements

High school diploma or GED required.
Minimum of 2 years of experience.
Strong organizational and multitasking abilities.
Excellent communication and interpersonal skills.
Proficiency in using EHR systems and other healthcare-related software.
Knowledge of medical terminology, insurance processes, and healthcare regulations.
Reliable and timely transportation to and from primary work location, and other locations to fulfill responsibilities listed.
Reimbursement will be provided according to company mileage policy.

Nice To Haves

Associate’s or Bachelor’s degree in healthcare administration, medical assisting, or a related field preferred.
Medical Assistant certificate.
Bilingual: Spanish/Mandarin/Cantonese preferred.
A state issued driver’s license, personal transportation, and auto insurance as required by law.

Responsibilities

Receive, review, and process referral requests from healthcare providers.
Coordinate with specialists, hospitals, and other healthcare providers to schedule patient appointments.
Ensure all referral information is accurate, complete, and compliant with healthcare regulations.
Serve as a primary point of contact for patients, providers, and insurance companies regarding referral status.
Provide patients with information on referral processes, appointment details, and any required pre-appointment preparations.
Maintain effective communication with healthcare providers to ensure timely updates on referral statuses.
Verify and update patient records in the electronic health record (EHR) system.
Ensure all referral documentation, including medical records and insurance authorizations, is accurately maintained.
Prepare and submit reports on referral activities and outcomes.
Verify insurance coverage and obtain necessary authorizations for referred services.
Work with insurance companies to resolve any issues related to coverage or authorization.
Assist patients with understanding their insurance benefits related to referrals.
Ensure compliance with all relevant healthcare regulations, including HIPAA.
Maintain patient confidentiality at all times and ensure that all patient information is handled in a secure and confidential manner.
Visit outside healthcare offices for relationship-building purposes, as needed.
Performs related duties as assigned.